Module 4 Test Flashcards
Lymphatic collectors will regenerate with blunt trauma.
T
(TF) Generally, there is lympho-lymphatic anastomosis through old scars – wider than 3mm.
F; NOT wider than 3mm
Hyperkeratosis is the hypertrophy of corneous layer of the skin.
T
(T/F) Papillomas are benign epithelial tumors that usually recede with compression treatment.
T
(T/F) Fungal infections are common in lymphedema especially in the lower extremities.
T
If you have a patient with fungal infection of the skin of the legs you need to wait 2 weeks to start treatment of CDT.
F
(T/F) Lymphatic cysts can be chylous and non chylous.
T
It is okay to work over areas of dilated veins and teleangiectasia.
T
(T/F) Axillary Web Syndrome (AWS) should be treated with hot packs.
F
(T/F) Unilateral swelling in the supraclavicular fossa can be a symptom of malignant lymphedema.
T
Never use compression garments higher than Compression Class ___ on paralyzed extremities.
1
(T/F) 100% of males with lymphedema of the lower extremities also have genital involvement.
F
Itching, crusting of skin, scaling skin, sweet odor are all signs of:
Fungal infections
Sharp pain in the extremity, rapid swelling, unilateral swelling in the supraclavicular fossa, rapid skin changes, non-healing wounds are all signs and symptoms of:
Malignant lymphedema
In an effort to maintain fluid homeostasis, the body has the ability to respond to lymph stasis by:
Redirecting lymph fluid into healthy drainage areas
Using vessels and collaterals that circumnavigate blocked areas
Using the existing initial lymph vessel plexus and anastomoses
Which modalities can be used for the treatment of lymphedema?
manual lymphatic drainage, exercise, pneumatic pumps, and compression bandage therapy
These statements in reference to pneumatic compression pumps are CORRECT:
These devices should never be used without the combination of complete decongestive therapy (CDT)
The use of these devices in lower extremities lymphedema may cause the onset of swelling in the external genitalia
Patients are immobile during several hours of application
These statements are correct about the vaso-vasorum vessels:
Vasa-Vasorum means “Vessels of vessels”
Larger arteries and veins in the body have their own/separate arterial, venous and lymphatic vessels (and nodes) to supply their walls
Vasa-Vasorum is normally dormant to surrounding lymph
Which of the following is an alternative of treatment for patients with lymphedema?
Elastic taping
The current international standard and therapy of choice for patients with lymphedema is:
Complete Decongestive Therapy (CDT)
Benefits of compression?
- reduce filtration
- increase reabsorption
- improve efficiency of jt mm pump
- prevent re-accumulation of lymph fluid
- increase tissue pressure
- compensated for elastic insufficiency of affected tissue
- breakdown scar tissue
Benefits of decongestive exercise?
- improve lymph transport
- improve venous return
- optimize jt mm pump
- increase lymphangiomotoricity
- diaphragmatic breathing increases fluid return to venous angle via thoracic duct
- bandages worn during exercise increase external TP
How do venous insufficiencies affect lymphatic system?
Decrease venous return - increase BCP - increase filtration - increase net-filtrate
